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孤独症谱系障碍患儿 CC 和 CXC 趋化因子表达的相关性分析。

Correlation analysis of expression of CC and CXC chemokines in children with autism spectrum disorder.

机构信息

Department of Child Rehabilitation, Huanggang Pingan and Rehabilitation Hospital.

Huanggang Central Hospital, Huanggang, Hubei 438000, China.

出版信息

Medicine (Baltimore). 2021 Jun 18;100(24):e26391. doi: 10.1097/MD.0000000000026391.

Abstract

To investigate the relationship between the expression of CC and CXC chemokines and autism spectrum disorder (ASD).A total of 62 children with ASD (ASD group) and 60 gender- and age-matched normal children (control group) admitted to our hospital from January 2019 to January 2020 were included in the study. Monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein-1α (MIP-1α), macrophage inflammatory protein-1β (MIP-1β), regulated upon activation, normal T-cell expressed and secreted (RANTES), interleukin-8 (IL-8), monokine induced by interferon (IFN)-γ (MIG), and purified human interferon-γ-induced protein-10 (IP-10) were detected in the ASD group. The correlation between the above indexes and the severity of the ASD group was analyzed.Significantly increased MCP-1 levels (P < .01) along with the markedly decreased MIP-1α and MIP-1β levels (P < .01) were detected in the venous blood of the ASD group compared with the control group. In addition, they exhibited no significant difference (yet a downward trend) in the level of RANTES (P > .05). Children in the ASD group showed significantly decreased IP-10 levels (P < .01); however, they had no noticeable change (yet a decreasing trend) in the levels of IL-8 and MIG (P > .05). MCP-1 level was positively related to the Module 1 scores of Autism Diagnostic Observation Schedule-second edition (ADOS-2), whereas the levels of Childhood Autism Rating Scale MIP-1α, MIP-1β, IL-8, IP-10, and MIG were negatively correlated with the ADOS-2 Module 1 scores (P < .01). However, no significant correlation was found between RANTES and the ADOS-2 Module 1 scores (P > .05).The levels of CC chemokines (MCP-1, MIP-1α, MIP-1β, and RANTES) and CXC chemokines (IL-8, IP-10, and MIG) are positively correlated with the pathogenesis of ASD. Inflammation is an important contributing factor to ASD.

摘要

目的

探讨趋化因子 CC 与 CXC 表达与自闭症谱系障碍(ASD)的关系。

方法

选取 2019 年 1 月至 2020 年 1 月我院收治的 62 例 ASD 患儿(ASD 组)和 60 例性别和年龄匹配的正常儿童(对照组)进行研究。检测单核细胞趋化蛋白-1(MCP-1)、巨噬细胞炎性蛋白-1α(MIP-1α)、巨噬细胞炎性蛋白-1β(MIP-1β)、活化正常 T 细胞表达分泌调节因子(RANTES)、白细胞介素-8(IL-8)、干扰素-γ 诱导单核细胞因子(MIG)、人干扰素-γ 诱导蛋白-10(IP-10)在 ASD 组中的表达。分析上述指标与 ASD 组严重程度的相关性。

结果

与对照组相比,ASD 组静脉血中 MCP-1 水平显著升高(P<0.01),MIP-1α 和 MIP-1β 水平显著降低(P<0.01)。此外,RANTES 水平差异无统计学意义(P>0.05)。ASD 组 IP-10 水平显著降低(P<0.01);然而,IL-8 和 MIG 水平无明显变化(P>0.05,呈下降趋势)。MCP-1 水平与自闭症诊断观察量表第二版(ADOS-2)模块 1 评分呈正相关,而 MIP-1α、MIP-1β、IL-8、IP-10 和 MIG 水平与 ADOS-2 模块 1 评分呈负相关(P<0.01)。然而,RANTES 与 ADOS-2 模块 1 评分之间无显著相关性(P>0.05)。

结论

CC 趋化因子(MCP-1、MIP-1α、MIP-1β 和 RANTES)和 CXC 趋化因子(IL-8、IP-10 和 MIG)水平与 ASD 的发病机制呈正相关。炎症是 ASD 的一个重要致病因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f841/8213293/dea5ae592792/medi-100-e26391-g001.jpg

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